Provider Demographics
NPI:1457344400
Name:SEID, MICHAEL KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KEVIN
Last Name:SEID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2516 SAMARITAN DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4108
Mailing Address - Country:US
Mailing Address - Phone:408-358-7027
Mailing Address - Fax:408-358-7031
Practice Address - Street 1:2516 SAMARITAN DR
Practice Address - Street 2:SUITE G
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4108
Practice Address - Country:US
Practice Address - Phone:408-358-7027
Practice Address - Fax:408-358-7031
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA900022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI33631Medicare UPIN
CA00A900020Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID NUMB